
		
		<div class="control-group">
			<label class="control-label" for="inputNombre">Nombre (*):</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[nombre]' id="nombre" required value='<?php echo $data['nombre'];?>'>
			</div>
		</div>

		<div class="control-group">
			<label class="control-label" for="inputNombre">Direccion (*):</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[direccion]' id="direccion"  value='<?php echo $data['direccion'];?>'>
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label" for="inputNombre">Web:</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[web]' id="web"  value='<?php echo $data['web'];?>'>
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label" for="inputNombre">Contacto 1:</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[persona1]' id="persona1"  value='<?php echo $data['persona1'];?>'>
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label" for="inputEmail">Email 1:</label>
			<div class="controls">
				<input type="email" class='input-xxlarge' name='data[email1]' id="inputEmail1" value='<?php echo $data['email1'];?>'>
			</div>
		</div>


		<div class="control-group">
			<label class="control-label" for="inputApellido">Telefono 1:</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[telefono1]' id="telefono1" value='<?php echo $data['telefono1'];?>'>
			</div>
		</div>

		<div class="control-group">
			<label class="control-label" for="inputNombre">Contacto 2:</label>
			<div class="controls">
			  <input type="text"  class='input-xxlarge' name='data[persona2]' id="persona2" value='<?php echo $data['persona2'];?>'>
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label" for="inputEmail">Email 2:</label>
			<div class="controls">
				<input type="email" class='input-xxlarge' name='data[email2]' id="inputEmail2" value='<?php echo $data['email2'];?>'>
			</div>
		</div>


		
		
<style>
.control-label{
	float:left;
	width:150px;
	text-align:right;
	font-weight:bold;
}
</style>		